- CommonSpirit Health (Rancho Cordova, CA)
- …and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) ... is to ensure the terms and conditions of the payer contract adhere to the CSH Standards...+ Experience - One (1) to two (2) years physician contract negotiation experience is required. Three… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Director of Contract Strategy and Analytics manages a highly skilled and ... IDNs, Specialty and Acute Care GPOs, Specialty Pharmacies and physician channels. S/he provides specific and clear direction to...in therapeutic areas where BMS competes. The Director of Contract Strategy an Analytics utilizes a deep… more
- CommonSpirit Health (Rancho Cordova, CA)
- …fee-for-service, and quality incentive programs), negotiation strategy , and payer relationships for all Physician Enterprise and hospital-based clinic ... and have California managed care experience. The Regional Director, Payer Strategy and Relationships (PSR), is a...Region-level insight and strategic knowledge to/from the PSR National Payer teams, Physician Enterprise, the PSR Growth… more
- Sharp HealthCare (San Diego, CA)
- …of capitated arrangements. Develop, in coordination with applicable stakeholders, the specific contract strategy for individual payors as well as overall payor ... with each entities desired reimbursement goals. + STRATEGIC LEADERSHIPDevelop and implement payer strategy , building and maintaining payer relationships, and… more
- CommonSpirit Health (Lexington, KY)
- …and objectives related to contract language and reimbursement, negotiation strategy , and payer relationships. The Director collects and communicates ... in the KY or TN area. The Market Director, Payer Strategy and Relationships (PSR), is responsible...payers to further drive a clear and effective negotiation strategy , reimbursement structure, contract renewal planning process,… more
- Cardinal Health (Atlanta, GA)
- …implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy and all third-party negotiations for contract ... Summary** Senior executive leader responsible for leading all aspects of Navista's Physician Office's revenue cycle, managed care and value based care programs and… more
- CommonSpirit Health (Englewood, CO)
- …& Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. ... requires daily contact with senior management, physicians, hospital staff, and managed care/ payer strategy leaders. The position must handle adverse and… more
- Scripps Health (San Diego, CA)
- … development for Scripps Health/Scripps Health Plan Services payer contracting. #LI-DP1 *Required Education/Experience/Specialized Skills:* * Bachelor's degree ... 30 outpatient centers, home health services, and a wide physician network of 3,000 affiliated doctors and 17,800 employees....Ratings*due to its strong leadership and financial performance. Why Payer Relations? The Payer Relations team is… more
- Organon & Co. (Plymouth Meeting, PA)
- …reimbursement challenges, ensuring high levels of satisfaction and resolution. + ** Contract Strategy Development:** Lead the development of contracting ... to join our team as the Senior Specialist of Contract and Reimbursement Strategy . This role is...Strong background in payor access, contracting, value-based modeling, and contract analytics. + Experience in payer marketing… more
- AdventHealth (Maitland, FL)
- …plan representatives as applicable, so that appropriate adjustments can be made to contract strategy and action. Collaborates with the Managed Care contract ... multi-state peers by developing educational materials and activities to streamline contract negotiation strategy and improve overall managed care performance.… more
- Corewell Health (Grand Rapids, MI)
- …as well as accreditation standards* Ensure that the Division meets all payer contract requirements in respect to quality incentives and obligations* ... time to lead your team while partnering with the director of operations on division strategy . The ideal candidate has 3 to 5+ years of experience and has practiced… more
- Tufts Medicine (Burlington, MA)
- …physician compensation models as needed to assure alignment with the overall physician enterprise and system strategy and to reduce inequitable variation ... flow models, reimbursement methodologies (eg, capitation, fee-for-service, value-based care), and payer contracting within the healthcare or physician enterprise… more
- LifePoint Health (Las Cruces, NM)
- …for the assigned providers and practices. Onboarding Education and Training. Payer contract offerings. Strategic network communication. Performance reports and ... and Growth Opportunities o And much more *_Position Summary _* Memorial Physician Practices consist of 8 primary care-based clinics and 15 Clinicians including… more
- Corewell Health (Grand Rapids, MI)
- …well as accreditation standards* Ensure that those within your section meet all payer contract requirements in respect to quality incentives and obligations* ... of the Division/program.* Identify clear expectations for performance and hold physician accountable for their actions.* Consistently provide open feedback, with… more
- Houston Methodist (Houston, TX)
- …benchmarks. May also be assigned to additional responsibilities; such as payer reimbursement analysis and financial reconciliation. **PEOPLE ESSENTIAL FUNCTIONS** + ... + Serves as subject matter expert for assigned entity(s) (Hospital, Physician Organization, Research Institute, Academic Institute, HM Foundation, MOB, for Clinical… more
- Dignity Health (Bakersfield, CA)
- …monitors risk contract profitability. As requested this role will assist Payer Strategy & Relationships leadership in creating innovative and transformative ... transform care delivery through value based care. Working in partnership with CommonSpirit Payer Strategy and Relationships - Analytics and Innovation this role… more
- Houston Methodist (Houston, TX)
- …payers for the system. Oversees the reporting, monitoring and trending of individual payer contract performance. + Ensures the dissemination of managed care ... contract negotiations. + Disseminates important HM accomplishments to payer executives and medical directors to support awareness and promote understanding.… more
- Pfizer (New York, NY)
- …finance colleagues to evaluate payer contracting opportunities. + Continuously assess payer contract adoption risk and rebate impact to mitigate effects on ... personal and non-personal promotion, CFC engagement and training, hub and SPP strategy optimization, and managing executional efforts. This role is a member of… more
- Trinity Health (Clive, IA)
- …and APM contract terms. + Coordinates with MercyOne and Trinity Health Payer Strategy resources to ensure optimal value-based metrics and language, including ... MercyOne PHSO. The Vice President shall collaborate with MercyOne leadership, Physician leadership, PHSO member organizations, as well as Trinity Health leadership… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …**What you'll do:** + Develop and execute ongoing account management and service strategy to meet corporate strategic / financial objectives. + Serve as main point ... with assigned provider accounts. + Build and maintain positive physician /provider relationships, generally with more complex accounts. Utilize consultative skills,… more